NPI | 1255670477 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON MICHAEL THAYER President 606-271-1920 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY LCSW 3155) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2013-02-07 |